Archives of internal medicine · 1992
Community-acquired invasive group A beta-hemolytic streptococcal infections in Zuni Indians.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Benjamin E M, Gershman M, Goldberg B W
Аннотация
BACKGROUND: Outbreaks of invasive group A beta-hemolytic streptococcal (GABS) infections have recently been reported. We observed a high incidence of invasive GABS disease among Native Americans at a small rural community hospital between 1982 and 1991.
METHODS: A retrospective chart review was performed, and all cases of invasive GABS disease were studied for their clinical features.
RESULTS: Sixteen cases of invasive GABS infection were identified during the 10-year study period. The rate of invasive GABS infection was 13.3 cases per 100,000 population per year. Mortality was 25%. Nearly half of the patients presented with systemic signs of sepsis without any obvious source of infection.
CONCLUSIONS: Our experience documents a high rate of invasive GABS infections in a defined Native American population. To determine whether this population has a unique susceptibility to GABS disease requires further study.
METHODS: A retrospective chart review was performed, and all cases of invasive GABS disease were studied for their clinical features.
RESULTS: Sixteen cases of invasive GABS infection were identified during the 10-year study period. The rate of invasive GABS infection was 13.3 cases per 100,000 population per year. Mortality was 25%. Nearly half of the patients presented with systemic signs of sepsis without any obvious source of infection.
CONCLUSIONS: Our experience documents a high rate of invasive GABS infections in a defined Native American population. To determine whether this population has a unique susceptibility to GABS disease requires further study.